白血病患者心理状况及医学应对方式探究.docVIP

白血病患者心理状况及医学应对方式探究 【 】目的研究白血病患者的心理状况及医学应对方 式，以指导心理干预从而提高白血病患者的生存质量和治 疗效果。方法将86名白血病患者作为病例组，68名营养 性贫血患者作为对照组，两组均用症状自评量表（SCL-90） 和医学应对方式问卷（MCMQ）进行调查。结果白血病患者 的SCL-90得分与对照组比较有显著差异，MCMQ量表中，面 对应对得分低于对照组，回避和屈服应对得分高于对照组。 结论白血病患者的心理状况及其医学应对方式对疾病的 发展及预后有很大影响，医护人员应通过心理干预改变白血 病患者的不良应对方式，改善他们的心理状况，以提高其 生存质量和治疗效果。 【关键词】白血病；症状自评量表；医学应对方式问 卷；心理状况 An Investigation on the Leukemia Inpatients’ Psychological Condition and MedicalCoping Modes. Sun Shuhua, Zhao Lishuang, Liu Enjun. The Affiliated Hos pital of Chengde Medical College, Chengde 067000, P. R. China [Abstract] Objective To study the psychological condition and medica 1 coping m odes of the leukemia inpatients for the purpose of instructing psychological int erventions and improving their quality of life. Methods 86 leuk emia inpatients w ere recorded as cases group while 68 nutritional anemia inpatients as control gr oup. Both of the two groups were investigated by filling out the Symptom Check L ist 90 (SCL-90) and the Medical Coping Modes Questionnaire (MCMQ). Resul ts The 1 eukemia inpatients SCL-90 scores had significant statistical differences compar ed with the control group? s； on the MCMQ, its Confrontation scores were lower t han the control group’ s, and the Avoidance scores and the Acceptance-Resignationscores were higher than that of the control. Conclusions The psy chological condition and medicalcoping modes of the leukemia inpatients have great effects on the progression a nd the prognosis of their disease. Doctors and nurses should apply psychological interventions to change their negative coping modes, promote their quality of life and improve the medical treatments effects. [Key words] Leukemia； SCL-90； MCMQ； Psychological Condition 白血病（Leukemia）是一类常见的起源于造血干细胞的 恶性疾病，约占恶肿瘤总发病率的5 °/o［l］o白血病的临床 治疗主要采取化疗、放疗、骨髓移植、生物反应调节剂等治 疗手段，这些手段都有强烈的毒副作用，并且医疗费用也 很昂贵。确诊后，病人需要进行长期的、阶段性治疗，需 支付昂贵的医疗费用，因此白血病患者在得知病情后因面临 死亡、经济负担、疾病标签作用等，常出现抑郁、焦虑等 应激情绪，对疾病预后有不良影响。在接受治疗的过程中， 患者会因疾病和治疗的痛苦而产生心理上的不确定性、威胁 感和不安全感而出现疲劳、腹泻、恶心、呕吐、厌食，咽 痛等躯体症状，生